Organization · NPI-2
Affiliated Podiatrists LLC
Podiatrist · Bethel, CT
NPI number1710988985
StatusActive
Last updated in NPPESJun 11, 2008
Details
- NPI
- 1710988985
- Entity type
- Organization (NPI-2)
- Legal business name
- Affiliated Podiatrists LLC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2005
- Last updated
- Jun 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 000749 | CT | Yes |
| 213ES0131X | 000749 | CT | ||
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 000749 | CT | |
| 213EP0504X | Podiatrist, Public Medicine | 000749 | CT | |
| 213ER0200X | Podiatrist, Radiology | 000749 | CT | |
| 213ES0000X | Podiatrist, Sports Medicine | 000749 | CT | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000749 | CT |
Practice location
2a Topstone DrBethel, CT 06801-2624
Phone 203-942-9141
Mailing address
2a Topstone DrBethel, CT 06801-2624
Phone 203-942-9141
Authorized official
Samir F Zaky
Owner/President
2039429141
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